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What Do My Lab Test Reports Indicate?
Question: What can cause EKG changes? I have had many EKGs and then went I went for pre- surgery screening I had slight EKG changes. And they said a right bundle branch block or incomplete block. I understand that this can be normal, but why would it only show up now and what would be the causes? Also, how frequently does short runs of SVT show up on holter monitor reports. It showed up on mine and then my mother had one and she had a short run too. I am just wondering if this is a common finding. She had several syncopal episodes and I have had problems where my heart would just kind of take off and beat fast and then suddenly it would return to normal. I was wondering if this can be genetic because sometimes my daughter complains of similar symptoms. Or can everyone have SVT?
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details provided by you I understand your concern for your health and I would like to tell you that although rbbb in adults is a common finding and it usually do not cause any symptoms.
However as you have mentioned that you have had an episode of SVT also so I would like to suggest you to get an Echocardiography done and also if these SVT episode are happening frequently then you need to get an EP study done. You can talk with your cardiologist regarding this.
Heart problems do have strong genetic associations and yes SVT can happen to anybody.
I hope this information will answer your query.
Kind Regards
Dr Bhanu partap
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical details provided by you I understand your concern for your health and I would like to tell you that although rbbb in adults is a common finding and it usually do not cause any symptoms.
However as you have mentioned that you have had an episode of SVT also so I would like to suggest you to get an Echocardiography done and also if these SVT episode are happening frequently then you need to get an EP study done. You can talk with your cardiologist regarding this.
Heart problems do have strong genetic associations and yes SVT can happen to anybody.
I hope this information will answer your query.
Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Prasad
So why would I have EKG changes now? What causes changes? I had two episodes of chest/arm and back pain. Enough to bring me to the ER. But my EKGs were normal then. So I assumed everything was ok. Then I went for pre surgery testing and then I had changes and had to get clearance for surgery. I just don't understand why my EKGs were always completely normal then they changed.
And is SVT a common finding on holter monitor reports?
And is SVT a common finding on holter monitor reports?
Brief Answer:
Hello Again
Detailed Answer:
The common causes of Rbbb includes
1. Pulmonary Embolus
2. Ischeamic heart disease
3. Rheumatic heart disease
4. Lung pathology
5. Right ventricular hypertrophy
If you ecg was normal before and you are pretty sure about that and these changes are newly developed then it should be evaluated thoroughly. Its advisable to get an echocardiography done and personally consult a cardiologist for proper evaluation.
Also SVT is not a routine finding on Holter monitoring.
Hope to have been helpful.
Kind Regards
Dr Bhanu Partap
Hello Again
Detailed Answer:
The common causes of Rbbb includes
1. Pulmonary Embolus
2. Ischeamic heart disease
3. Rheumatic heart disease
4. Lung pathology
5. Right ventricular hypertrophy
If you ecg was normal before and you are pretty sure about that and these changes are newly developed then it should be evaluated thoroughly. Its advisable to get an echocardiography done and personally consult a cardiologist for proper evaluation.
Also SVT is not a routine finding on Holter monitoring.
Hope to have been helpful.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Kampana
If it is only a few beats of SVT is it ever considered a significant finding?
I had at least 10 EKGs over the past 2 years and they were always Normal Sinus. It was just recently changed. I had 2 episodes of intense arm pain (worse in the right arm, it felt like I had tourniquettes on my arms.. and chest/neck discomfort. I seriously thought I was having a heart attack. I had EKGs done when I had the episodes but they were normal. It wasn't until a couple months after that I had a random EKG and they found it to be different. They said I didn't need an echo because I had one earlier in the year, but that had been before the chest pain/arm pain episodes. Could the symptoms that I had cause EKG changes?
I had at least 10 EKGs over the past 2 years and they were always Normal Sinus. It was just recently changed. I had 2 episodes of intense arm pain (worse in the right arm, it felt like I had tourniquettes on my arms.. and chest/neck discomfort. I seriously thought I was having a heart attack. I had EKGs done when I had the episodes but they were normal. It wasn't until a couple months after that I had a random EKG and they found it to be different. They said I didn't need an echo because I had one earlier in the year, but that had been before the chest pain/arm pain episodes. Could the symptoms that I had cause EKG changes?
Brief Answer:
Hello again
Detailed Answer:
If the echo was done before the symptoms then it could be repeated again after the symptoms to look for any changes.
Normal Holter monitoring do not have any SVT beats. However if it's just couple of them and not frequent then they can be ignored.
Could you please upload your previously normal ecg report and then the recent ones with the RBBB changes.
Kind regards
Dr Bhanu partap
Hello again
Detailed Answer:
If the echo was done before the symptoms then it could be repeated again after the symptoms to look for any changes.
Normal Holter monitoring do not have any SVT beats. However if it's just couple of them and not frequent then they can be ignored.
Could you please upload your previously normal ecg report and then the recent ones with the RBBB changes.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Yogesh D
I attached a few ekgs I have had this year
Brief Answer:
Hello Again
Detailed Answer:
I have gone through all the ECG reports attached by you and i would like to tell you that there are no specific ECG signs of any infarction and the ecg machine has interpreted it wrongly. This happens sometime due to slight lead misplacements specially in female due to the breast tissue.
However as you have had some some chest discomfort episodes so i would like to suggest you to go through an Echocardiography as it will show wall motion abnormality if any event has had happened in the past which is highly unlikely considering your age and female gender.
Hope to have been helpful. Feel free to ask if you have any other doubts.
Kind Regards
Dr Bhanu Partap
Hello Again
Detailed Answer:
I have gone through all the ECG reports attached by you and i would like to tell you that there are no specific ECG signs of any infarction and the ecg machine has interpreted it wrongly. This happens sometime due to slight lead misplacements specially in female due to the breast tissue.
However as you have had some some chest discomfort episodes so i would like to suggest you to go through an Echocardiography as it will show wall motion abnormality if any event has had happened in the past which is highly unlikely considering your age and female gender.
Hope to have been helpful. Feel free to ask if you have any other doubts.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Yogesh D
So do you see EKG changes? Or a right bundle branch block? If so which one? And if I didnt have a heart attack what would cause changes?
I thought about going back to the cardiologist because sometimes its like my heart just takes off and its hard to slow down. Is there a med you can take just when you need to slow it down?
I thought about going back to the cardiologist because sometimes its like my heart just takes off and its hard to slow down. Is there a med you can take just when you need to slow it down?
Brief Answer:
Hello Again
Detailed Answer:
Yes there are some slight ecg changes consistent with incomplete RBBB.
These changes are not of a heart attack and the common causes of this I have already listed in my above reply you can refer there.
As now you are telling that at times your heart starts racing then you need to get a Holter monitoring done to rule out any rhythm abnormality. A diagnosis has to be made before prescribing any medicine.
Kindly meet your cardiologist first and discuss about doing a Holter.
Kind Regards
Dr Bhanu partap
Hello Again
Detailed Answer:
Yes there are some slight ecg changes consistent with incomplete RBBB.
These changes are not of a heart attack and the common causes of this I have already listed in my above reply you can refer there.
As now you are telling that at times your heart starts racing then you need to get a Holter monitoring done to rule out any rhythm abnormality. A diagnosis has to be made before prescribing any medicine.
Kindly meet your cardiologist first and discuss about doing a Holter.
Kind Regards
Dr Bhanu partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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